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WO2006130067A1 - Ensemble gabarit de fraisage - Google Patents

Ensemble gabarit de fraisage Download PDF

Info

Publication number
WO2006130067A1
WO2006130067A1 PCT/SE2006/000541 SE2006000541W WO2006130067A1 WO 2006130067 A1 WO2006130067 A1 WO 2006130067A1 SE 2006000541 W SE2006000541 W SE 2006000541W WO 2006130067 A1 WO2006130067 A1 WO 2006130067A1
Authority
WO
WIPO (PCT)
Prior art keywords
drill
arrangement
units
guide
unit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/SE2006/000541
Other languages
English (en)
Inventor
Izidor Brajnovic
Andreas Pettersson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nobel Biocare Services AG
Original Assignee
Nobel Biocare Services AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nobel Biocare Services AG filed Critical Nobel Biocare Services AG
Priority to EP06733395A priority Critical patent/EP1890632A4/fr
Priority to US11/916,262 priority patent/US7942668B2/en
Priority to JP2008514583A priority patent/JP4939532B2/ja
Publication of WO2006130067A1 publication Critical patent/WO2006130067A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A61C1/084—Positioning or guiding, e.g. of drills of implanting tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C1/00—Dental machines for boring or cutting ; General features of dental machines or apparatus, e.g. hand-piece design
    • A61C1/08—Machine parts specially adapted for dentistry
    • A61C1/082—Positioning or guiding, e.g. of drills
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C3/00—Dental tools or instruments
    • A61C3/02—Tooth drilling or cutting instruments; Instruments acting like a sandblast machine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C8/00—Means to be fixed to the jaw-bone for consolidating natural teeth or for fixing dental prostheses thereon; Dental implants; Implanting tools
    • A61C8/0089—Implanting tools or instruments

Definitions

  • the present invention relates to an arrangement used on a drill template oriented in the mouth for forming holes intended to extend from the template and into the zygoma.
  • the template in this case comprises one or more guide sleeves which define the direction toward the zygoma .
  • the structure and orientation of the drill template is dealt with in a parallel application which was submitted on the same day as the present application and by the same applicant.
  • the drill template is produced, inter alia, by means of computer-aided equipment in a manner known per se.
  • the present invention aims to solve these problems among others. It is also important that, despite the aforementioned precision, the arrangement for hole formation can be highly flexible and that components known per se can be used. The invention also deals with this problem.
  • more first cylindrical extension units which determine the hole direction can be applied in a respective guide sleeve.
  • One or more first drills with one or more first diameters can be directed by means of the respective extension unit toward the jaw bone and/or zygoma in said direction for forming an introductory hole extent with a respective first diameter.
  • the invention is characterized in that one or more drill guide units for one or more second drills with one or more second diameters can be inserted toward the bottom of the introductory hole extent for continued drilling.
  • the first cylindrical extension units are formed as cylinders with longitudinal and continuous central holes.
  • the extension units can be two in number and can have different diameters for the holes.
  • the drill guide units can be designed with cylindrical portions which have external diameters corresponding to the internal diameters in the • respective guide sleeve and/or extension unit.
  • the drill guide units can be designed with handle parts which mean that they are easy to maneuver by hand.
  • First drill guide units can be arranged to support second drill guide units in the same way as they themselves are supported in the guide sleeves.
  • Figure 1 shows, in a perspective view from underneath, an example of a drill template which has been produced in computer-aided equipment and which has been assigned an orientation in the patient' s ' mouth,
  • Figure 2 is a vertical view showing the configuration of a first extension unit
  • Figure 3 is a vertical view showing an illustrative embodiment of a second vertical unit
  • Figure 4 is a side view showing examples of drills with first diameters
  • Figure 5 is a vertical view showing conventional drills that can be used in forming holes
  • Figure 6 is a side view, in slight perspective, of first drill guide units that can cooperate with guide sleeves in the drill template according to Figure 1,
  • Figure 7 is a perspective view, obliquely from underneath, of second configurations of drill guide units that can be applied in guide sleeves of the drill template and/or in the units according to Figures 2 or 3,
  • Figure 8 is a vertical section showing application of a drill guide unit in a unit applied in a guide sleeve in the drill template
  • Figure 9 is a vertical view showing a first drill guide unit arranged in the guide sleeve in the drill template, and a second guide unit that can be applied to the guide sleeve applied in the guide sleeve
  • Figure 10 is a vertical section showing the application of an extension unit to a guide sleeve in the drill template
  • Figure 11 is a vertical section showing the principle of application of a drill template to the zygoma and the application of an extension unit in the guide sleeve, and also a drill with a first diameter, by means of which an introductory hole extent can be formed, and
  • Figure 12 is a vertical section showing a drill guide unit applied in the guide sleeve of the drill template and guiding a drill down to the bottom of said introductory hole extent for formation of a hole through the zygoma.
  • a drill template is indicated by 1.
  • the drill template has guide sleeves 2, 3 which are applied with the aid of computer-aided equipment (not shown) .
  • the longitudinal axes of the guide sleeves see longitudinal axis 2a for guide sleeve 2, are directed toward a solid part of a symbolically indicated zygoma 4.
  • the template has two guide sleeves which are directed toward said zygoma part 4 on one side of the zygoma.
  • a corresponding arrangement with two guide sleeves can be present for alignment with the other side of the zygoma.
  • Figure 2 shows a cylindrical extension unit 5 from the side.
  • the cylindrical unit has an external diameter D and an internal diameter d and is thus provided with an internal central hole (not shown in Figure 2) extending in the longitudinal direction of the cylinder.
  • the unit 5 has a length L. In the illustrative embodiment, the length can be ca. 30 mm.
  • the diameter D is ca. 6 mm, and the internal diameter d is ca. 4 mm.
  • Said unit can be applied to the respective guide sleeve 2, 3 which has an internal diameter slightly greater than the diameter D, i.e. the extension unit can be inserted into the guide sleeve. •
  • Figure 3 shows an extension unit with in principle the same structure as the unit 5 in Figure 2.
  • the unit 6 has a structure corresponding to the unit 5 but has different dimensions.
  • the unit 6 can be applied in the sleeve 2 or 3 and can receive the sleeve 5 in its longitudinal and continuous central recess.
  • the units 5 and 6 are exchangeable in said sleeve 2 or 3.
  • Figure 4 shows two drills 7, 8 known per se.
  • the drill 7 can have a smaller external diameter than the drill 8 and can cooperate with the unit 5 according to Figure 2, while the drill 8 can cooperate with the unit 6 according to Figure 3.
  • Figure 5 shows two conventional drills 9 and 10, the drill 9 having a diameter of 2.9 mm and the drill 10 having a diameter of 3.5 mm. These drill diameters are substantially less than the drill diameters of the drills 7 and 8 according to Figure 4.
  • Figure 6 shows drill guide units 11 and 12 with cylinder parts 11a and 12a via which the drill guide units can be applied in either the units 5, 6 or, in an alternative embodiment, directly in the guide sleeve 2 in the drill template.
  • the units 11 and 12 also comprise handle parts lib and 12b by means of which the units can be applied in the central hole in question and which allow the units to be turned about the longitudinal axes of the parts 11a and 12a.
  • Figure 7 shows second drill guide units 13, 14, 15 with a corresponding structure to that of the drill guide units 11 and 12, but with different dimensions.
  • the units 13, 14 and 15 can be applied directly to the guide sleeve (e.g. 2) in the drill template. It is also conceivable to arrange these guide units so that they can be applied to the extension units 5 and ⁇ .
  • the control units 13, 14, 15 can also receive the guide units 11 and 12 via their longitudinal central holes.
  • Figure 8 shows the guide sleeve 2 according to Figure 1 in diagrammatic form.
  • An extension unit for example the extension unit 5 is applied in the guide sleeve.
  • a guide unit 11 (cf. Figure 6) can be inserted in the continuous central hole 5a of the extension unit into the recess 5a via its guide part 11a.
  • the unit 11 is provided with a longitudinal continuous recess lie for a drill according to Figure 5.
  • Figure 9 shows another embodiment in which the unit 13 according to Figure 7 is inserted into the guide sleeve 2 in the drill template according to Figure 1 and the unit 11 is in turn inserted in the central hole of the unit 13. It should be noted here that the guiding between the different components (the sleeve parts) is considerable and that the gap between two respective units is of the order of magnitude of 0.1 mm.
  • Figure 10 shows, in a diagrammatic representation, the insertion of the unit 6 in the direction of arrow 14 into the sleeve 2 in the drill template.
  • Figure 11 shows a hole being formed in connection with the sleeve 2 in the template 1 where the extension unit 5 is applied in the guide sleeve.
  • the unit 5 guides a drill 7 (or 8) via its longitudinal central hole 5a.
  • a drill 7 or 8
  • the introductory hole extent is formed in the solid part of the zygoma 4.
  • the introductory extent has the length A and can be varied from case to case.
  • the drill is driven by mechanical equipment (electric motor) 15 of a type known per se and in a manner known per se.
  • the equipment 15 rotates the drill about its longitudinal axis 16, for example in the drilling direction 17.
  • Figure 12 is intended to show the stage where the hole formation is completed following the state shown in Figure 11.
  • the extension unit 5 has been replaced here by the drill guide unit 13 (see Figure 7) which assumes the position shown in Figure 12 in the guide sleeve 2 of the drill template 1.
  • the drill 9 according to Figure 5 is used, which drill can thus be guided by the unit 13 and move to the bottom 18 of the hole 19 formed by the drill 7.
  • the end of the drilled hole 19 is cone-shaped and the drill 9 in this way acquires a locating function.
  • the continuation of the hole formed with the drill 9 is indicated by broken lines 20.
  • the drill has been allowed to penetrate slightly out of the zygoma 4, with the result that the drill can be felt by the fingers through the patient's skin 22 outside the zygoma.
  • the drill hole formation can be carried out in stages with different drills of different diameters.
  • the hole 19 can be started with the drill 17 according to Figure 4 and completed with the drill 8 according to Figure 4.
  • the drills 9 and 10 with the different diameters can be used for forming the hole 20.
  • different configurations and dimensions can be used on the drill guide units 11-15.
  • the hole parts 19 and 20 formed can subsequently be threaded with a thread tap (not shown) in a manner known per se.
  • the drive equipment for the drill 9 is indicated by 23, which drive equipment can be of the same type as the drive equipment 15 and for example can comprise a drill machine, screwdriver, etc.
  • the drill guides 10, 11 according to Figure 6 can be used on an instrument (not shown) by means of which it is possible to indicate and mark out on the patient's skin outside the zygoma the drill end of the drill which is used for forming the hole 20.
  • Said instrument is described in more detail in an application submitted on the same day as the present application and by the same Applicant as for the present patent application.
  • Said instrument is designed with a sleeve-shaped fastening or anchoring part which can extend in the guide sleeve in the drill template.
  • Each of said units 10, 11 can thus be inserted by way of its cylindrical part into the sleeve of the instrument and the precision or play between the parts is of the same order of magnitude as has been described above.

Landscapes

  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgical Instruments (AREA)
  • Drilling And Boring (AREA)

Abstract

La présente invention concerne un ensemble utilisé sur un gabarit de fraisage (1) orienté dans la bouche pour ménager des trous (19, 20) conçus pour s'étendre depuis le gabarit et dans le zygoma (4). Le gabarit peut comprendre un ou plusieurs manchons de guidage (2, 3) qui définissent la direction vers le zygoma. Une ou plusieurs unités d'extension peuvent être appliquées dans un manchon de guidage respectif. Une ou plusieurs premières fraises présentant un ou plusieurs diamètres peuvent être dirigées vers l'os maxillaire et/ou le zygoma dans la direction afin de ménager un trou d'introduction (19) présentant un premier diamètre respectif. Une ou plusieurs unités de guidage de fraise (11-15) pour une ou plusieurs fraises (9, 10) présentant un ou plusieurs seconds diamètres peuvent être insérées vers le fond (18) du trou d'introduction (19). Cette invention permet de guider de façon fiable les fraises utilisées en direction du zygoma et d'éviter ainsi un guidage incorrect vers l'oeil ou la cavité orbitale.
PCT/SE2006/000541 2005-06-03 2006-05-05 Ensemble gabarit de fraisage Ceased WO2006130067A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP06733395A EP1890632A4 (fr) 2005-06-03 2006-05-05 Ensemble gabarit de fraisage
US11/916,262 US7942668B2 (en) 2005-06-03 2006-05-05 Drill template arrangement
JP2008514583A JP4939532B2 (ja) 2005-06-03 2006-05-05 ドリルテンプレート装置

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
SE0501285-1 2005-06-03
SE0501285A SE528724C2 (sv) 2005-06-03 2005-06-03 Anordning vid i mun anordnad borrmall

Publications (1)

Publication Number Publication Date
WO2006130067A1 true WO2006130067A1 (fr) 2006-12-07

Family

ID=37481906

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE2006/000541 Ceased WO2006130067A1 (fr) 2005-06-03 2006-05-05 Ensemble gabarit de fraisage

Country Status (5)

Country Link
US (1) US7942668B2 (fr)
EP (1) EP1890632A4 (fr)
JP (1) JP4939532B2 (fr)
SE (1) SE528724C2 (fr)
WO (1) WO2006130067A1 (fr)

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EP2027829A1 (fr) 2007-08-22 2009-02-25 Straumann Holding AG Glissière de foret pourvue d'une butée
EP2191784A1 (fr) 2008-12-01 2010-06-02 Straumann Holding AG Porte-foret pour fraise
EP2196162A1 (fr) 2008-12-15 2010-06-16 Straumann Holding AG Guide-foret
DE202010004463U1 (de) 2010-04-01 2010-08-05 Straumann Holding Ag Hülsenhalter
DE202010004462U1 (de) 2010-04-01 2010-08-05 Straumann Holding Ag Kappe für einen Hülsenhalter
DE202013001415U1 (de) 2013-01-22 2013-03-05 Bego Implant Systems Gmbh & Co. Kg Hülsensystem für die schablonengeführte dentale Implantologie
EP2644149A1 (fr) 2012-03-28 2013-10-02 Straumann Holding AG Support pour une douille de guide foret
US8585402B2 (en) 2008-08-29 2013-11-19 Zimmer Dental, Inc. Dental drill guide system
DE202013000576U1 (de) 2013-01-22 2014-04-23 Bego Implant Systems Gmbh & Co. Kg Hülsensystem für die schablonengeführte dentale Implantologie
US8770974B2 (en) 2008-12-15 2014-07-08 Straumann Holding Ag Set of dental drills
FR3117769A1 (fr) * 2020-12-23 2022-06-24 Gérard Scortecci Dispositif de Guidage pour la pose d'implant maxillo-zygomatique

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Cited By (20)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2027828A1 (fr) 2007-08-22 2009-02-25 Straumann Holding AG Glissière de foret
US10820964B2 (en) 2007-08-22 2020-11-03 Straumann Holding Ag Drill guide having a limit stop
EP2027829A1 (fr) 2007-08-22 2009-02-25 Straumann Holding AG Glissière de foret pourvue d'une butée
EP2397102A1 (fr) 2007-08-22 2011-12-21 Straumann Holding AG Glissière de foret
EP2397103A1 (fr) 2007-08-22 2011-12-21 Straumann Holding AG Glissière de foret
US8585402B2 (en) 2008-08-29 2013-11-19 Zimmer Dental, Inc. Dental drill guide system
US8523566B2 (en) 2008-12-01 2013-09-03 Straumann Holding Ag Drill sleeve for a dental drill
EP2191784A1 (fr) 2008-12-01 2010-06-02 Straumann Holding AG Porte-foret pour fraise
EP2368515A1 (fr) 2008-12-01 2011-09-28 Straumann Holding AG Porte-foret pour foret dentaire
US8770974B2 (en) 2008-12-15 2014-07-08 Straumann Holding Ag Set of dental drills
US8708699B2 (en) 2008-12-15 2014-04-29 Straumann Holding Ag Drill guide
EP2196162A1 (fr) 2008-12-15 2010-06-16 Straumann Holding AG Guide-foret
DE202010004462U1 (de) 2010-04-01 2010-08-05 Straumann Holding Ag Kappe für einen Hülsenhalter
DE202010004463U1 (de) 2010-04-01 2010-08-05 Straumann Holding Ag Hülsenhalter
EP2644149A1 (fr) 2012-03-28 2013-10-02 Straumann Holding AG Support pour une douille de guide foret
DE202013001415U1 (de) 2013-01-22 2013-03-05 Bego Implant Systems Gmbh & Co. Kg Hülsensystem für die schablonengeführte dentale Implantologie
DE202013000576U1 (de) 2013-01-22 2014-04-23 Bego Implant Systems Gmbh & Co. Kg Hülsensystem für die schablonengeführte dentale Implantologie
DE102014201150A1 (de) 2013-01-22 2014-07-24 Bego Implant Systems Gmbh & Co. Kg Hülsensystem für die schablonengeführte dentale Implantologie
FR3117769A1 (fr) * 2020-12-23 2022-06-24 Gérard Scortecci Dispositif de Guidage pour la pose d'implant maxillo-zygomatique
EP4018961A1 (fr) * 2020-12-23 2022-06-29 Gérard Scortecci Dispositif de guidage pour la pose d'implant maxillo-zygomatique

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JP2008541928A (ja) 2008-11-27
SE528724C2 (sv) 2007-01-30
EP1890632A1 (fr) 2008-02-27
EP1890632A4 (fr) 2012-10-17
SE0501285L (sv) 2006-12-04
JP4939532B2 (ja) 2012-05-30
US7942668B2 (en) 2011-05-17
US20090325122A1 (en) 2009-12-31

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